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POLICY REVIEW
and budget allocations, the dignity and safety due to the are seldom systems in place
country’s abysmal sanitation shortage of basic sanitation for the proper disposal of
situation persists. As per facilities such as toilets, as well sanitary napkins. Since they
the National Family Health as social and cultural taboo. are non-biodegradable,
Survey 4 (2015-16), only 48% They are prone to several improper disposal can result
of Indian households have risks such as reproductive in an environmental hazard
sanitation facility which is not tract infections, psychosocial and there is a lack of awareness
shared while 9% use shared stress and gender-based about the eco-friendly and
facilities. Moreover, 39% of violence. According to a sustainable alternatives to
households have no sanitation study published by the India sanitary napkins.
facility and the members sanitation portal, nearly 355
engage in open defecation. million women and girls In terms of school, hygiene
in India menstruate every becomes a big concern. Many
The following graph month, and on average, studies suggest that young
illustrates the comparison a woman needs 7,000 girls drop out of school once
between NFHS 4 and 5. While sanitary pads to handle her they hit puberty due to a
the numbers improved in menstruation days before lack of hygienic sanitation
NFHS 5 (2019-20), it remains menopause. Just 12% of facilities and menstrual
poor in many States. In young girls and women have hygiene management. The
Kerala, 99% of households access to safe and hygienic right to sanitation affects the
have sanitation facility but menstrual absorbents. right to education. When
the States like Bihar are still girls are forced to drop out
lagging with only 49%. Millions of women and of school due to a shortage of
girls are compelled to use proper sanitation facilities, it
Women have specific unsanitary items such as does not bode well for their
sanitation and hygiene old rags, husks, dry leaves right to dignity. The true
requirements, which are and grass, ash, sand, or realisation of human rights
affected by social and cultural newspapers because they will remain impossible until
factors as well as biological have no other alternative. adequate sanitation steps are
factors. Women find it difficult Furthermore, in homes, taken and services are given
to perform their everyday schools, universities, and to everyone.
sanitation routine with communal bathrooms, there
Fig. 4: Proportion of households with sanitation facilities
Source 3: National Family Health Survey – 5 (2019-20), Ministry of Health and Family Welfare
60 HUDCO-HSMI Publication